Records Retrieval Specialist
About the role
The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and ICD 9/10 diagnosis codes submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. This is a remote role with field-based responsibility, requiring travel to provider offices to retrieve, review, and validate medical records on site in Pennsylvania and its surrounding counties, reporting directly to the Risk Adjustment Supervisor.
Responsibilities
- Collect medical records and conduct research to ensure accuracy of member information and obtain provider signatures.
- Travel will consist of driving to locations close to your home in an assigned territory and other areas as needed. Overnight travel may be required within the Northeast region on occasion.
- Collaborate with provider offices through phone calls and visits.
- Use multiple EMR systems to access records following all HIPAA guidelines.
- Use a laptop computer, portable scanner, and external thumb drive to retrieve medical records which will be uploaded into a database.
- Schedule appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.
- Will assist with regional phone calls and administrative projects.
Requirements
- 1 or more years of experience working with various Electronic Medical Records (EMR) systems.
- 1 or more years of experience in a hospital and/or provider setting.
- Ability to travel overnight occasionally within the region (Northeast).
Qualifications
- Experience using Microsoft 365 and associated applications including Word, Excel, and Teams.
- Previous experience in a managed care setting.
- Familiarity with medical terminology and/or ICD-10 codes.
- Medical record retrieval experience.
Skills
- Valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits.
Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Pay
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.